Muhannad Antoun, M.D
Internal Medicine, Pulmonary Disease in Wyandotte, MI. Individual provider (NPI-1).
NPI number1619266319
StatusActive
Last updated in NPPESSep 21, 2023
Details
- NPI
- 1619266319
- Entity type
- Individual (NPI-1)
- Name
- Muhannad Antoun
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2011
- Certification date
- Sep 21, 2023
- Last updated
- Sep 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 4301503853 | MI | Yes |
| 207R00000X | Internal Medicine | 4301503853 | MI | |
| 207RI0200X | Internal Medicine, Infectious Disease | 4301503853 | MI | |
| 2471C1106X | Radiologic Technologist, Cardiac-Interventional Technology | 4301503853 | MI | |
| 207LC0200X | Anesthesiology, Critical Care Medicine | 4301503853 | MI |
Practice location
2333 Biddle AvenueWyandotte, MI 48192-9458
Phone 734-246-6000
Mailing address
1 Ford Pl Ste 3aDetroit, MI 48202
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